Simultaneous subacute thrombosis in bare metal stents implanted into right coronary artery and left anterior descending artery without coexistence of resistance to antiplatelet therapy

Abstract

In-stent thrombosis is a rare but devastating complication of coronary stent implantation, occurring in 0.5% to 1.9% of patients with bare metal stents (BMS). The most frequent clinical manifestation of stent thrombosis is ST elevation myocardial infarction (STEMI) and 30 day mortality is 50%. In-stent thrombosis can present as acute (within 24 h), subacute (within 30 days), late or very late after stent placement. We describe a case of a patient presented with STEMI due to subacute stent thrombosis, which occurred simultaneously in BMS, 3 days after implantation. The patient was successfully treated with balloon coronary angioplasty and discharged from a hospital in good condition.
Kardiol Pol 2010; 68, 9: 1070-1073